| NPI | 1023267317 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MI 4301092374) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX U5141) |
| Enumeration Date | 2008-09-11 |
| Last Update Date | 2025-10-14 |